Medical school: BAYLOR COLLEGE OF MEDICINE
Graduated: 2002
NPI: 1225028053
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1450 NORTHWEST LN SE, SUITE A
LACEY, WA 985036908
3604914460
PROVIDENCE HEALTH AND SERVICES WASHINGTON
2555 MARVIN RD NE
LACEY, WA 985163138
3604134200
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.